1.Hemorrhagic cholecystitis presenting as obstructive jaundice.
Dong Keun SEOK ; Seung Seok KI ; Joon Ho WANG ; Eon Soo MOON ; Tae Ui LEE
The Korean Journal of Internal Medicine 2013;28(3):384-385
No abstract available.
Aged, 80 and over
;
Cholecystitis/*complications/diagnosis
;
Hemobilia/diagnosis/*etiology
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Humans
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Jaundice, Obstructive/etiology
;
Male
2.A Case of Acute Cholangitis with Intraluminal Gallbladder Hematoma after Percutaneous Liver Biopsy.
Sang Hoon LEE ; Tae Nyeun KIM ; Jun Young LEE ; Hee Jung MOON ; Yoon Sun PARK ; Jae Won CHOI
Korean Journal of Gastrointestinal Endoscopy 2007;35(4):277-280
Percutaneous liver biopsy is valuable for making the diagnosis and follow-up of many liver diseases. Complications after ultrasonography-guided liver biopsy are rare, but a few serious complications have been reported. We report here on a 43-year-old man with acute cholangitis and gallbladder hematoma secondary to hemobilia; these occurred 4 days after performing ultrasonography guided percutaneous liver biopsy for the evaluation of multiple liver nodules.
Adult
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Biopsy*
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Cholangitis*
;
Diagnosis
;
Follow-Up Studies
;
Gallbladder*
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Hematoma*
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Hemobilia
;
Humans
;
Liver Diseases
;
Liver*
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Ultrasonography
3.A Case of Hemocholecyst.
The Korean Journal of Gastroenterology 2009;54(2):63-65
No abstract available.
Adult
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Cholecystectomy
;
Diagnosis, Differential
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Gallbladder Diseases/pathology
;
Hemobilia/*diagnosis/pathology/ultrasonography
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Humans
;
Male
;
Tomography, X-Ray Computed
4.Hyponatremia and Mortality among Patients on the Liver-Transplant Waiting List.
The Korean Journal of Gastroenterology 2009;53(3):211-212
No abstract available.
Adult
;
Cholecystectomy
;
Diagnosis, Differential
;
Gallbladder Diseases/pathology
;
Hemobilia/*diagnosis/pathology/ultrasonography
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Humans
;
Male
;
Tomography, X-Ray Computed
5.Ruptured Cystic Artery Pseudoaneurysm as a Rare Cause of Massive Hemobilia.
Hyun Kyo LEE ; Tae Jun SONG ; Jong Wook CHOI ; So Young HA ; Jung Wook KIM ; Jong Soo SHIN ; Chul Nam KIM ; Sun Hee CHANG
Korean Journal of Pancreas and Biliary Tract 2015;20(3):168-174
Gastrointestinal bleeding from the biliary tree, called hemobilia, is an uncommon event. It may clinically present as hematemesis or melena. Ruptured cystic artery pseudoaneurysm is a rare cause of hemobilia, with 2 cases reported in Korea. We present this unusual condition in a 65-year-old man whose chief complaint was abdominal pain. His final diagnosis was ruptured cystic artery pseudoaneurysm, and he was successfully treated by transcatheter arterial embolization and laparoscopic cholecystectomy.
Abdominal Pain
;
Aged
;
Aneurysm, False*
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Arteries*
;
Biliary Tract
;
Cholecystectomy, Laparoscopic
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Diagnosis
;
Hematemesis
;
Hemobilia*
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Hemorrhage
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Humans
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Korea
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Melena
6.Hemobilia from Ruptured Hepatic Artery Aneurysm in Polyarteritis Nodosa.
Sung Soon PARK ; Byeong Uk KIM ; Hye Suk HAN ; Ja Chung GOO ; Joung Ho HAN ; Il Hun BAE ; Seon Mee PARK
The Korean Journal of Internal Medicine 2006;21(1):79-82
Hemobilia, in patients with the diagnosis of polyarteritis nodosa, is rare at clinical presentation and has a grave prognosis. We describe a case of massive hemobilia, due to aneurysmal rupture, in a patient with polyarteritis nodosa. A 39-year-old man was admitted to the hospital with upper abdominal pain. The patient had a history of partial small bowel resection, for intestinal infarction, about 5 years prior to this presentation. Abdominal computed tomography demonstrated multiple high attenuation areas in the bile duct and gallbladder. Hemobilia with blood seepage was visualized on endoscopic retrograde cholangiopancreatography; this bleeding stopped spontaneously. The following day, the patient developed a massive gastrointestinal bleed with resultant hypovolemic shock. Emergent hepatic angiogram revealed multiple microaneurysms; a communication was identified between a branch of the left hepatic artery and the bile duct. Hepatic arterial embolization was successfully performed. The underlying disease, polyarteritis nodosa, was managed with prednisolone and cyclophosphamide.
Rupture/*complications
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Polyarteritis Nodosa/*physiopathology
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Male
;
Humans
;
Hepatic Artery/*pathology
;
Hemobilia/diagnosis/*etiology
;
*Embolization, Therapeutic
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Aneurysm, Ruptured/*complications/therapy
;
Adult
7.Transcatheter Embolization Therapy of the Gastrointestinal Hemorrhage.
Yong Joo KIM ; Auh Whan PARK ; Jae In SIM ; Hun Kyu RYEOM
Journal of the Korean Radiological Society 1994;30(5):823-828
PURPOSE: To evaluate the effectiveness of transcatheter embolization for the treatment of massive gastrointestinal arterial bleeding. MATERIALS AND METHODS: The study was based on retrospective analysis of twelve cases(8 men, 4 women) including two patients with hemobilia in which transcatheter embolization was attempted for the control of massive gastrointestinal bleeding from March 1987 to October 1993. Clinical diagnoses of these patients were peptic ulcer(5), pseudoaneurysm formation(3) following percutaneous transhepatic biliary drainage or traffic accident, stomach cancer(I), typhoid fever(I), duodenal leiomyoma(1) and Osler-Weber-Rendu disease (1). RESULTS: Embolized vessels are as follows: gastroduodenal artery(6), left gastric artery(2), ileocolic artery(2), and hepatic artery(2). Embolization was effective in immediate control of bleeding in all patients. Although five of the six patients who had undergone embolization of the gastroduodenal artery developed rebleeding within 24 hour, only 2 reguired surgery and none showed serious complication. CONCLUSION: Embolization therapy is safe and effective initial treatment of choice for life-threatening massive gastrointestinal bleeding.
Accidents, Traffic
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Aneurysm, False
;
Arteries
;
Diagnosis
;
Drainage
;
Gastrointestinal Hemorrhage*
;
Hemobilia
;
Hemorrhage
;
Humans
;
Male
;
Retrospective Studies
;
Stomach
;
Typhoid Fever
8.Hemobilia as the Initial Manifestation of Cholangiocarcinoma in a Patient with Choledochoduodenostomy.
Dong Yup RYU ; Jae Hoon CHEONG ; Dong Gun LEE ; Bong Eun LEE ; Dong Uk KIM ; Gwang Ha KIM ; Geun Am SONG
The Korean Journal of Gastroenterology 2010;56(3):205-208
Hemobilia occurs when injury or disease causes communication between intrahepatic blood vessels and the intrahepatic or extrahepatic biliary system. The causes of hemobilia include trauma, gallstone disease, vascular malformation, inflammation, and biliary or hepatic tumors. Hemobilia could be diagnosed by endoscopy, hepatic angiography, computed tomography, and ultrasonogram. Patients with hemobilia may present with biliary colic, obstructive jaundice and gastrointestinal bleeding. Extrahepatic cholangiocarcinoma usually presents with obstructive jaundice and is one of the unusual cause of hemobilia. We, herein, report a case of hemobilia caused by cholangiocarcinoma in a 69-year-old woman. She had the past history of lung cancer and choledochoduodenostomy due to gallstone. Esophagogastroduodenoscopy revealed a blood clot protruding from the choledochoduodenostomy site and the ulcerative mass in the common bile duct. Pathologic examination of the ulcerative mass was compatible with those of cholangiocarcinoma.
Aged
;
Bile Duct Neoplasms/*diagnosis/pathology
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*Bile Ducts, Intrahepatic
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Cholangiocarcinoma/*diagnosis/pathology
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Cholangiopancreatography, Magnetic Resonance
;
Choledochostomy
;
Endoscopy, Gastrointestinal
;
Female
;
Hemobilia/*diagnosis
;
Humans
9.A Case of Spontaneous Hemorrhagic Cholecystitis without Gallstone.
Tae Yun HEO ; Young Yong AN ; Jung Hwa LEE ; Seung Woo LEE ; Yeon Soo KIM ; Sang Bum KANG ; Dong Soo LEE
The Korean Journal of Gastroenterology 2010;56(4):260-263
Hemorrhagic acalculous cholecystitis is an extremely rare but potentially fatal disease if detection is delayed. Its risk factors include critical illness, diabetes, malignant disease, uremia, and bleeding diathesis. This is the first case report in which hemorrhagic acalculous cholecystitis not accompanied by any risk factor. We herein present a case of hemorrhagic acalculous cholecystitis in a previously healthy patient who suffered from acute abdomen.
Acalculous Cholecystitis/complications/*diagnosis/pathology
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Adult
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Endoscopy, Gastrointestinal
;
Gallbladder/pathology
;
Gallstones/diagnosis
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Hemobilia/*complications
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Humans
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Magnetic Resonance Imaging
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Male
;
Tomography, X-Ray Computed
10.Spontaneous Hemobilia Complicating Warfarin Therapy: A Case Report.
Nam Kyu KANG ; Hoon Pyo HONG ; Myung Chun KIM ; Young Gwan KO
Journal of the Korean Society of Emergency Medicine 2004;15(3):208-212
Hemobilia is defined as hemorrhage into the biliary tract as a result of a communication between the biliary tract and arteriovenous circulation. A classical triad of symptoms and signs are upper abdominal pain, gastrointestinal bleeding, and jaundice. Hemobilia is a rare condition that may be difficult to recognize; it is, nevertheless, important to include it in the differential diagnosis of gastrointestinal bleeding. The causes include accidental and iatrogenic trauma, gallstones, inflammation, vascular malformation, and tumors. Due to the frequent use of diagnostic and therapeutic procedures involving hepatobiliary and portal systems, there has been an increase in the incidence of iatrogenic hemobilia during the last two decades. Like hematuria and epistaxis, hemobilia may also occur in coagulopathy, but acquired coagulopathy with anticoagulation therapy is very rarely associated with this condition. We present a case of acquired coagulopathy following warfarin therapy that resulted in spontaneous hemobilia complicating acalculous cholecystitis and cholangitis.
Abdominal Pain
;
Acalculous Cholecystitis
;
Biliary Tract
;
Cholangitis
;
Diagnosis, Differential
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Epistaxis
;
Gallstones
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Hematuria
;
Hemobilia*
;
Hemorrhage
;
Incidence
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Inflammation
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Jaundice
;
Portal System
;
Vascular Malformations
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Warfarin*